Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427540178 Individual Practitioner Male Practitioner

Dr. Brian Fuller , DO

Pediatrics • Tampa, FL

Professional Overview & Biography Verified Profile Summary

Dr. Brian Fuller, DO is a registered healthcare professional specializing in Pediatrics in Tampa, FL. Practice services are available at 2 TAMPA GENERAL CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2 Tampa General Cir

Tampa, FL 336063571

Telephone 8138218038
Fax 8139740483
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Tampa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
239 Specialists

Practicing in Tampa, FL (4160 Statewide)

Telehealth Adoption Rate
1.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-09
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL OS21488

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License PA OS021622

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
124462300 (FL)
Commercial Insurance / Payer ID Blue Cross Blue Shield
P8VF9 (FL)

Secondary Practice Locations

1200 S Cedar Crest Blvd

Allentown, PA 181036202

Phone: 6104028000

5649 Wynnewood Dr Ste 104

Laurys Station, PA 180591124

Phone: 6102626641

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Ricardo Rendel , MD

Surgery - Surgical Critical Care

NPI 1003311861

Doctor of Medicine (M.D.)

Dr. Divya Kondapi , MBBS

Internal Medicine - Infectious Disease

NPI 1013361708

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Benjamin Renne , MD

Surgery - Trauma Surgery

NPI 1023437837

Doctor of Medicine (M.D.)

Morgan Zegers

Psychiatry & Neurology - Neurocritical Care

NPI 1023578333
NPI 1023759859

Doctor of Osteopathic Medicine (D.O.)

Jaden Mangra , SW

Social Worker

NPI 1023860244

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location January 09, 2025

Registered at 2 TAMPA GENERAL CIR, TAMPA, FL 336063571 (Tel: 8138218038)

📍
Updated Business Mailing Address January 09, 2025

Registered at PO BOX 917770, ORLANDO, FL 328910001 (Tel: 8138218038)

📍
Updated Practice Location December 22, 2021

Registered at 5649 WYNNEWOOD DR STE 104, LAURYS STATION, PA 180591124 (Tel: 6102626641)

📍
Updated Business Mailing Address December 22, 2021

Registered at PO BOX 783311, PHILADELPHIA, PA 191783311 (Tel: 4848844500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2021

Pediatrics (License #OS021622 in PA)

NPI Profile Active May 30, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2018

Registered at 1200 S CEDAR CREST BLVD, ALLENTOWN, PA 181036202 (Tel: 6104028000)

📍
Updated Business Mailing Address May 30, 2018

Registered at 45 N 6TH ST APT 295, ALLENTOWN, PA 181011101 (Tel: 8147716774)

👤
Provider Name / Credentials Updated May 30, 2018

Recorded as BRIAN FULLER, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2018

Pediatrics (License #OT018378 in PA)

🟢
Initial NPI Registration & Enumeration May 30, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Brian Fuller. Be the first to share your experience!

Sign in to leave a review for Dr. Brian Fuller

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1427540178
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2018
Last Update: January 09, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 917770

Orlando, FL 328910001

Phone: 8138218038

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.